Referral Coordinator

Essential Functions and Responsibilities:

• Coordinate Referral Appointments - Providing patients with referrals to other care providers, managing incoming patient referrals, or both.


• Maintain and Update Patient Records and kept in accordance with laws and regulations.


• Verify Patient Insurance Information - They may call or email insurance representatives to verify patient coverage and enrollment information, check to make sure that procedures are covered by the patient’s insurance, and verify copay amounts and billing information that the office sends to the insurance company for reimbursement.


• Provide Administrative Support - These tasks can include answering phone calls and emails, managing schedules, and maintaining electronic or paper files and records. They may also check to make sure doctors and nurses have necessary supplies and patient records prior to appointments.


• Answer Patient Questions - Because they frequently interact directly with patients, referral coordinators regularly assist patients by answering questions and resolving issues that may arise during an office visit. In this aspect of the role, the referral coordinator ensures that patients have the information necessary to make critical care decisions and may provide information to patient caretakers in accordance with HIPAA.


• Manage inventory, including ordering of necessary medications, DME's, supplies and keep good vendor relations.


• Front desk check in, check out, pt insurance verification, copay collections, per-certifications, HMO referrals.

EDUCATION

• High school diploma/GED or equivalent working knowledge preferred.

EXPERIENCE

• Requires a high school diploma or its equivalent with 0-2 years of experience in the field or in a related area. Has knowledge of commonly used concepts, practices, and procedures within a particular field. Relies on instructions and pre-established guidelines to perform the functions of the job.


• One year of medical experience from or similar setting.
  

   

  
  

  REQUIREMENTS

  
  
  
  
  • Data Entry and or Front office experience
  
  
  • Healthcare experience a plus